Fijany Arman J, Olsson Sofia E, Givechian Bijan K, Zago Ilana, Bishay Anthony E, Troia Thomas, Page Trevor S, Barnett Alexander, Downey Michael W, Pekarev Maxim
Plastic Surgery, Vanderbilt University Medical Center, Nashville, USA.
Plastic Surgery, Anne Burnett Marion School of Medicine, Texas Christian University, Fort Worth, USA.
Cureus. 2023 Sep 6;15(9):e44796. doi: 10.7759/cureus.44796. eCollection 2023 Sep.
Congenital clubfoot is addressed in infancy and rarely persists into adulthood. Ankle arthroplasty is an increasingly popular surgical intervention for patients with ankle arthritis since it allows a natural ankle range of motion and completely replaces a degenerative hindfoot. Here, we describe the first successful total ankle arthroplasty (TAA) for a patient with previously treated congenital clubfoot that reverted later in life. To address the patient's poor soft-tissue integument and reduce the likelihood of post-surgical complications, a perioperative latissimus muscle-free flap was performed. This two-staged, novel orthoplastic intervention addressed our patient's ankle issues and appears to be a viable option for clubfoot patients.
先天性马蹄内翻足在婴儿期就会得到治疗，很少会持续到成年期。踝关节置换术是一种越来越受踝关节关节炎患者欢迎的外科手术，因为它能让踝关节有自然的活动范围，并完全替代退变的后足。在此，我们描述了首例为一名曾接受治疗但后来病情复发的先天性马蹄内翻足患者成功实施的全踝关节置换术（TAA）。为解决患者软组织覆盖不佳的问题并降低术后并发症的可能性，术中进行了一期背阔肌游离皮瓣移植。这种分两阶段进行的新型矫形外科干预解决了我们患者的踝关节问题，似乎是马蹄内翻足患者的一个可行选择。
